Dermal fillers can give you a more youthful, rejuvenated look. Many patients seeking younger-looking skin consult with a plastic surgeon about these facial fillers. However, in these initial discussions with your doctor, it’s best to come prepared with questions. There are so many different types of dermal fillers to consider and while a doctor can help you sort through your options, doing some homework can inform your discussion and guide you to the right choice.

Types of dermal fillers: a quick overview

There are many different brands of injectable facial fillers. The main difference between these fillers is the type of cosmetic material they contain. There are several different FDA-approved cosmetic products that make these dermal filler brands. Some of the most common materials used in dermal fillers are below.

Hyaluronic acid

Hyaluronic acid is probably the most common dermal filler available to patients. There are several brands that use this material, however, the main brands include  Juvederm, Perlane, Captique, Esthélis, Elevess, Prevelle, Puragen Hylaform, and Restylane.

Hyaluronic acid is one of the most common materials used for dermal fillers because it is 100% natural. It is found in the human body in soft connective tissues and in the fluid surrounding the eyes, as well as cartilage and skin tissue. To be used as a filler, this material is extracted and reformulated.

Calcium hydroxylapatite

Calcium hydroxylapatite is also found in the human body. However, the material used in dermal fillers is biosynthetically produced. This is a benefit because it lowers the risk of an allergic reaction and no skin testing is required. It produces a very natural result for most patients, doesn’t migrate from the treatment area and side effects are rare. The most common brand that uses this material is Radiesse.

Polyalkylimide

Polyalkylimide is a semi-permanent, synthetic dermal filler. The most common brand that uses this material is Aquamid.

Polyalkylimide is biocompatible. This means the doctor will not require an allergy test before administration.

After the plastic surgeon injects this into the target treatment area, a thin layer of collagen slowly forms around it. This takes anywhere from four to six weeks. A single procedure can inject a large volume into the skin and it is one of the most stable options. Additionally, this type of filler is removable if necessary.

Polylactic acid

Polylactic acid is a synthetic dermal filler. Once injected, it causes the body to produce an excess of natural collagen in the targeted treatment area. Known as a “stimulator, this non-toxic, this biodegradable substance takes a unique approach to plumping skin and filling wrinkles by enhancing the body’s natural ability to do so. Sculptra is the most common brand that uses this material.

How to choose the right dermal filler for your skin

Choosing the right facial filler to achieve your desired results depends on multiple factors. The most important factor to consider is your desired result. The different types of dermal fillers listed above are great for treating different parts of the face. Each product has a specific density, texture and injection depth. This means that certain fillers work better for certain areas of concern. An experienced, board-certified plastic surgeon will be able to walk you through the right option for your target treatment area.

FAQs

Here are some of the most common FAQs about dermal fillers.

What is the difference between fillers and Botox?

Don’t confuse dermal fillers with other injectables like Botox. Although Botox is an injectable, it works very differently. It temporarily paralyzes muscles that cause crow’s feet, forehead furrows, and the “eleven” lines between the eyebrows. Botox does not plump or fill an area of skin. Rather, it simply stops the muscle in the area from moving. This prevents wrinkles from worsening. In some cases, both fillers and Botox can be used together.

How long do the results from dermal fillers last?

How long the effects of dermal fillers will last depends on the product, the area of treatment, and the patient. Generally, the denser the product is and the deeper the injection, the longer the results last. Hyaluronic acid fillers are typically the most temporary option.  Often, doctors recommend them for first-time filler patients, typically lasting anywhere from six to 18 months. Synthetic fillers tend to last longer and can be a great option for the right patient. They required a larger commitment to results that will be there for several years.

To maintain your results from any type of dermal filler, your cosmetic surgeon will simply repeat treatment, adjusting the amount as necessary to ensure longevity.

What are the most common risks with dermal fillers?

Risks from dermal fillers include the following:

  • Bruising
  • Swelling
  • Redness
  • Allergic reaction

Because dermal fillers are non-invasive, risks and side effects are minimal and very rare. The most significant side effect is an allergic reaction to the chosen filler. However, many filler brands consist of natural materials and a board-certified surgeon will conduct an allergy test prior to injection to be safe. If you have questions or concerns about an allergic reaction, make sure to speak with your plastic surgeon before the procedure.

Answer all your questions with a top plastic surgeon in New Jersey

Dr. Anthony Berlet provides patients in northern New Jersey and New York City with important medical guidance and top treatment. In practice for over 20 years, Dr. Berlet has a wealth of experience with dermal fillers, helping patients choose the right options and achieve a more youthful, rejuvenated appearance. Contact our office today to learn more about your dermal filler options and how we can help you.